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Newly Diagnosed


linda8

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linda8 Newbie

My daughter was diagnosed with celiac disease 2 days ago. Her reason for going to the MD was coughing and phlegm after eating. She was placed on Nexium initially which gave her relief. She had an EGD and biopsy and it came back celiac disease, and we are waiting the results from the anitbody test. I have been doing a lot of reading and have not seen these symptoms mentioned. She has no GI problems. Has anyone heard of these symptoms being related to celiac disease? I believe she has celiac disease as I have a copy of the biopsy results setting in front of me, but it is just hard to comprehend right now.

I am looking for info on what to look for on lables of processed foods. Is there a list of what fast foods might be gluten free.

I have purchased rice flour, potato starch etc. to get started with the gluten free cooking.

Also have a question about the contamination issue. Is it really crucial that gluten free toast not be made in a toaster where wheat bread has been fixed, etc? Are there different degrees of this disease? So many questions.

Thanks to anyone that can help.

Linda


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Canadian Karen Community Regular

Hi Linda,

The separate toaster for gluten free bread is an ABSOLUTE MUST!!!!

I learned that the hard way..... Also, make sure you have separate pots and pans for gluten free food if the surface is porous - teflon holds in the gluten and transfers it to the gluten-free food being cooked in it.....

I have learned a very valuable lesson - I didn't take this disease seriously enough to go through all the trouble of doing all these things, and I paid the price for it...

I personally don't have the symptoms your daughter has, but I believe celiac3270 might be able to help you - some of the symptoms he displays are similar to your daughters....

I would like to welcome you to the board and there are truly a great bunch of people here and we are all here to support each other!!!

Have a great day!

Karen

tarnalberry Community Regular

Take some time to look around the celiac.com information. They've got a good safe/unsafe list, including what you need to look for on labels. (The fun part is the "questionable" ingredients, which means you get to call the company. Joy.)

The contamination issue is definitely something to be very careful of. Remember, in her intestines, this is just another chemical reaction. One molecule of gluten binding to one immune system molecule. There are different "degrees" of celiac, in the sense that some people find their symptoms are worse than others, some people react more strongly than others, and some people have their intestines get damaged more quickly than others, but none of that means you can be more or less lenient with the diet. And toasters are probably the worst areas of contamination, 'cause you can never get them _totally_ clean.

Take some time to get to know the diet. It'll be a couple months before you're likely _comfortable_ with it, but don't beat yourself up over a few mistakes. We've all made them, and know that we may end up making one in the future too.

celiac3270 Collaborator
I personally don't have the symptoms your daughter has, but I believe celiac3270 might be able to help you - some of the symptoms he displays are similar to your daughters....

Sorry, I can't really help on the symptom part. I was exactly the opposite; I had lots of GI symptoms and I was the classic celiac and knowing what I know now, it should have been very easy for the doctor to diagnose me. My symptoms included abdominal pains (coming in 12-24 hour bouts about once a week, but sometimes more often), vomiting (accompanying the stomach pains), bloating (constant--I was REALLY distended), gas, audible stomach noises and rumblings, occasional loose stools, and low-weight.

Your question about different degrees of celiac: there aren't really any varying degrees. What varies are the symptoms that people get and how severely the react to gluten ON THE OUTSIDE. Just because you can eat something with gluten and not react doesn't mean that it's not hurting your body just as much as the person who is experiencing full-blown symptoms. Actually, some celiacs have no symptoms at all regardless of what they eat, yet if they don't stay on the diet, they're just as likely to run into complications later on.

I agree with Tiffany; definitely check out the resources of this site. Besides the message board, which is a wealth of information in itself, there is a portion of the site with articles and lists of all kinds of things related to celiac disease. On the left column towards the top of every page, there is a menu. If you click on "site map", you're taken to the sort of informational center of the site. From there, you can find articles on celiac disease, contamination, related disorders, lists of gluten-free products, lists of gluten-free ingredients, lists of gluten-containing ingredients, etc. When I first came here in February, I didn't utilize this tool, but still learned quickly since I read nearly every post on the boards. I did use some of the ingredient lists and now I realize the value of this tool.

Contamination is a HUGE issue. I am completely paranoid about this and it's difficult for some people to understand unless they're the ones getting sick for years on end and not knowing what was wrong. You should really have a few cooking things designated as gluten-free only: a pot, pan, spatula, toaster, etc. Sooner or later, you might fail to wash something carefully enough and then your daughter could be contaminated. One crumb will bring back any symptoms and frequent contamination will undo any progress you make. This leads into the toaster issue: if there is one crumb left in the toaster and it gets on a piece of gluten-free bread, the bread is contaminated. The risk is just too high.

When you have questions you can sometimes find the answers on celiac.com, but you can also run searches. If you scroll up a bit, you'll see the topic name, then you'll see your user name, etc. On the far right, there are a few options such as members, calendar, search, and help. If you're questioning, say, the status of Pepsi (it's gluten-free as is every other beverage made by the company), you could run a search for Pepsi and find a post in which someone asked if it was gluten-free. You get my point. It's just an easy way to save time..........

Your daughter's symptoms could very well be related to celiac disease because there are no set symptoms for celiac. I was a classic celiac, but we are now learning that the "classic celiac" is not necessarily the most common celiac. Symptoms for celiac disease are ranged, so any symptom could be a celiac disease symptom.

Please forgive my rambling......it's now about 4:30 in NYC, I've been up all night with an upset stomach.....celiac stuff.....my villi are healed, but my stomach is still irriated from all the gluten, even though I started the diet 8 months ago. The dr. compares it to a car--it's as if I was going at 100 mph with the gluten, so even when I slam on the brakes with the diet, it doesn't come completely to a halt, and it takes time for me to stop.......there i go w/ the rambling. I hope something I said was useful :rolleyes:

-celiac3270

linda8 Newbie

Thanks so much to all who replied. I didn't mention that my daughter is in college 5 hrs away from home. She came home to find out the results of her EGD. She's leaving today to return to college so we have been scrambling to find some answers to get her started off. I've bought her lots of gluten free products to take back with her. I wish I had her here longer since we have so much to learn.

I especially appreciate the contamination info. I believe what I'm reading but it just seems unbelievable that there is so much to watch out for.

Thanks again, and we'll keep reading.

Linda

celiac3270 Collaborator

Oh :D .....when I was replying, I thought your daughter was 8 or 9 :lol: .

I have nearly 5 years before I experience college with celiac disease. You should probably talk to the people in charge of food at your daughter's college. Jessica (angel_jd1) had a list under the teenagers only section about a very common food supplier that is very helpful and accomodating with college celiacs. Definitely send a lot of gluten-free food :D and try to print lists about mainstream products such as Lays chips, etc. that could be bought anywhere without great expense. Definitely send a small refridgerator and if the college will allow it, a toaster oven........all you need to get through life is a George Foreman grill and a toaster oven :D. Even if there is some rule against toasters, celiac is technically a disability so they should be able to bend the rules for someone like her. There are a lot of celiacs here in college now or just leaving college, so somebody should be able to provide some true insight into the issue.

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    • Scott Adams
      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
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      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap so without formal testing for celiac disease it can be very difficult to distinguish between the two in the early stages if it is celiac disease. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
    • suek54
      Hi Kayla Huge sympathies. I was diagnosed in December, after 8 months of the most awful rash, literally top to toe. Mine is a work in progress. Im on just 50mg dapsone at the moment but probably need an increased dose to properly put the lid on it. As you have been now glutened, I wondered whether it might be worth asking for a skin biopsy to finally get a proper diagnosis? Sue  
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      I had been eating reduced gluten until about 3 days before the test. I did realize that wasn’t ideal, but it was experimental to see if gluten was actually bothering me. One slip up with soy sauce and it was quite clear to me that it was, lol. 
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